Podcasts about pediatric pulmonologist

In this episode of Real Talk with Kid Docs we are joined by Dr. Amit Shah, M.D., a fellowship trained Pediatric Pulmonologist and Sleep Medicine physician in Atlanta, Georgia. In addition to his inpatient and outpatient clinical responsibilities, he serves as Assistant Professor in Pediatrics at Emory University School of Medicine. He joins us to talk about the importance of sleep for our children, the role that restful sleep serves in promoting emotional and behavioral regulation, neural development and more. He reviews sleep hygiene and the basics of good sleep. You don't want to miss this! (And, more to come for him in the new future!)Let us know your sleep questions! Email us at RealTalkwithKidDocs@gmail.com or message us on Instagram @RealTalkwithKidDocs

Join Dr. Matthew Bruehl, Pediatric Pulmonologist at WakeMed Children's - Pediatric Pulmonology & Sleep Medicine, to discuss the dangers of vaping in teens.

Dr. Funke Afolabi-Brown joins us to discuss the BIG and important topic of children & sleep. Dr. Brown shares her personal journey with sleep deprivation and insomnia, which fueled her passion for helping others improve their sleep.We delve into parents' challenges when their children have trouble sleeping and explore practical strategies for improving children's sleep habits. We also learn about the impact of sleep on children's cognitive function, behavior, and growth.In addition, we discuss the diagnosis and treatment of sleep apnea in children, including adenotonsillectomy, CPAP therapy, and other treatment options.Take advantage of this informative episode filled with valuable information for parents and anyone interested in optimizing sleep for children. BIO:Dr. Funke Afolabi-Brown is a triple-board-certified sleep medicine physician passionate about helping people discover the gift of sleep as a superpower. Dr. Brown is a speaker, coach, educator, writer, and the founder of RestfulSleepMD, where she helps busy professional women and their children prioritize sleep to achieve their optimal health and thrive and live to their fullest potential. As a physician in practice for over a decade, and a mom of two who struggled with sleep issues, she fully understands the impact of sleep deprivation on our mental, physical and emotional health. As a result, she has dedicated her career to helping professional women be their best selves. She is a member of the American Academy of Sleep Medicine, The American Academy of Pediatrics, and The American Thoracic Society. She is also on the medical advisory board of Baby Center and the expert advisory board of Project Sleep.  SHOW NOTES: 

Does your CF clinic offer a place for you to express your concerns and successes about CF?  The University of Michigan Medical Center started a zoom program during the pandemic that allowed its adult patients with CF to discuss what's on their mind.   The topics cover a variety of concerns people with CF face. And thanks to the need and social worker Mari Pitcher, the program is back!Mari is a licensed clinical social worker specializing in adjustment, grief work, trauma work and patient and family centered care for individuals, and their families, with chronic and life limiting illnesses. Currently a member of the University of Michigan Health Systems' pulmonary clinics, Mari provides social work and mental health support to persons with CF and other pulmonary diseases.  Mari has over 20 years of hospice, palliative care, trauma, adjustment and grief related experience. Additionally, she has worked as a therapist supporting individuals with PTSD, histories of abuse and/or traumatic loss. Mari is an adjunct lecturer in the University of Michigan School of Social Work Masters program. We're thrilled to have her.To reach Mari Pitcher: pitcherm@med.umich.eduThe Bonnell Foundation:  https://thebonnellfoundation.orgEmail us: thebonnellfoundation@gmail.comThanks to our sponsors!Vertex: https://www.vrtx.comGenentech: https://www.gene.comViatris:  https://www.viatris.com/en    

This weeks Ask Dr Jessica episode is all about coughs! Coughs are often so difficult for families; they can be so uncomfortable and persistent, and many families don't know how to best help their children.  In this episode, with pediatric pulmonologist, Dr Cesar Chavarria, we discuss what is a normal length of time for coughs to last, what medications can be offered, and also when to see a doctor.  We also talk about asthma (starting @18:55). We discuss common signs of asthma, how to know the difference between asthma and a regular cold virus cough, how to treat asthma and what demographic it typically affects. Dr. Chavarria is a pediatric pulmonologist with more than 30 years of experience in treating pediatric respiratory conditions. He attended undergraduate school at Madrid College and medical school at the National Autonomous University of Mexico, both in Mexico City. He completed his pediatric internship at the University of Colorado Health Sciences Center in Denver, and his residency in pediatrics and fellowship in pediatric pulmonology and critical care at the Long Beach Memorial Medical Center.  Dr. Chavarria is board certified in Pediatrics and in Pediatric Critical Care.Cesar Chavarria, M.D., is a third-generation physician. Outside of his work, Dr  Chavarria likes to spend his time with his wife and daughter. His wife is a psychiatrist, and his daughter is completing her psychiatry residency. To schedule an appointment, call 818-342-0793. He can also be found on his website: https://www.brthez.com/Dr Jessica Hochman is a board certified pediatrician, mom to three children, and she is very passionate about the health and well being of children.  Most of her educational videos are targeted towards general pediatric topics and presented in an easy to understand manner. Do you have a future topic you'd like Dr Jessica Hochman to discuss?  Email your suggestion to: askdrjessicamd@gmail.com. Dr Jessica Hochman is also on social media:Follow her on Instagram: @AskDrJessicaFollow her on TikTok: @AskDrJessicaSubscribe to her YouTube channel! Ask Dr JessicaSubscribe to this podcast: Ask Dr JessicaSubscribe to her mailing list: www.askdrjessicamd.comThe information presented in Ask Dr Jessica is for general educational purposes only.  She does not diagnose medical conditions or formulate treatment plans for specific individuals.  If you have a concern about your child's health, be sure to call your child's health care provider.

Dr. Ran Anbar is a pediatrician board certified in pulmonology who offers hypnosis and counseling services in La Jolla, California, and Syracuse, New York. He's past president, fellow, and approved consultant of the American Society of Clinical Hypnosis. He's here today to discuss the power of hypnosis, which has long been looked upon with confusion and skepticism. He shines a light on this underutilized field of medicine and why it should be the first line of defense before medication for mental health symptoms. With 25 years of experience, Dr. Anbar is a leader in clinical hypnosis who has successfully treated over 7,000 children. He's served as a professor of pediatrics and medicine and the director of pediatric pulmonology at SUNY Medical University in New York for 21 years. He's worked as an editor for the American Journal of Clinical Hypnosis and directed more than 20 clinic workshops on pediatric hypnosis. He's trained more than a thousand healthcare providers, been the principal investigator in 10 published case studies of pediatric hypnosis, is involved in research trials of children with cystic fibrosis and other pulmonary disorders, and has lectured all over the world.  Dr. Anbar is a published author of more than 50 articles, abstracts, and book chapters on pediatric functional disorders and pediatric hypnosis. He's just published a book titled, “Changing Children's Lives with Hypnosis” to help parents, kids, and anyone interested in using hypnosis to increase their well-being.    SHOW NOTE LINKS: Changing Children's Lives with Hypnosis: A Journey to the Center CenterPoint Hypnosis 6 Ways to Use Hypnosis for Improved Well-Being | Psychology Today 988 Official Lifeline   CONNECT WITH US! *Dear Family, Podcast Page *Write Now Rachel Website *Rachel's Blog @Medium *Rachel's Twitter *Facebook *Instagram   PLEASE JOIN: *Dear Family Members, the Private Facebook Group   WAYS TO HELP THE PODCAST: *PLEASE Leave a 5-Star Review and Subscribe!   Thank you! Your support means the world to me. Wishing you love, happiness, and good mental health always.  

In this episode, Dr. Funke Afolabi-Brown and I discuss How to Get the High Quality Sleep You Dream Of, including answers to the following questions:- As a Pediatric Pulmonologist, how did Dr. Brown become interested in Sleep Medicine as a means of helping families improve their health?- How does sleep deprivation affect other parts of our life - such as work, relationships, parenting?- What is "sleep hygiene?"- What does a proper sleep environment look like?- What is social jet lag?- How do devices and blue light affect sleep?- How do sleep crutches develop, why are they harmful and how can we break them?- What is CREATE?- How does the caffeine - alcohol cycle impair sleep?- How can we accommodate for changes in our routine?- What's the story with naps?- Are biphasic / segmented sleep patterns (sleeping in blocks instead of one stretch) helpful or harmful?- How can night-shift workers improve their sleep routine?- How does light affect sleep quality?- What do circadian rhythm, sleep pressure, sleep inertia and sleep debt mean?- What should we do if we can't fall asleep?- Is there a role for sleep aids like melatonin, antihistamines (Benadryl), sedatives (Ambien, Lunesta) or benzos (Xanax, Ativan, Klonopin)?- What is the optimal time to exercise to get a good night's sleep?- What are some warning signs of medical sleep disorders as opposed to just difficulty sleeping?***************Dr. Funke Afolabi-Brown is a Board-Certified Pediatric Pulmonologist and Sleep Medicine Physician, speaker, educator and writer. As the founder of Restful Sleep MD she helps busy professional women and their families prioritize sleep to not only achieve their optimal health but also thrive and live to their fullest potential. She emphasizes sleep as a critical pillar of health and aims to educate and empower women through coaching, courses and programs. Dr. Brown also works with organizations and businesses to improve employee health by incorporating healthy sleep as part of their wellness journey. Dr. Brown is here to help families learn how to create the best versions of themselves without sacrificing their health and losing sleep!***************For more from Dr. Brown check out:https://www.restfulsleepmd.com/IG/FB  @restfulsleepmd***************Thanks so much for listening!  If you enjoyed the show and want to hear more, please leave a review, subscribe and share!You can always find more information on my website:www.drlexlifestylemedicine.comand....If you love the music, you can find more at:www.therealmichaelvm.com/music*****************All my love & gratitude to:my guests: Dr.  Funke Afolabi-Brown,my inspiration: my patients,my idea guy: Edward,my intro crew: Izzy, Lance & Lucia,my tech & equipment guy: Pop,my angel: Susie,my music & sound guy: Mike VM,my mascots: Jules & Penny Sue, my creative director & cheerleader: Emily,my love, Michael.#insomnia #insomniac #insomniacs #sleephealth #sleepdisorders #fatigue #tired #sleephygiene #goodnightssleep #insomniaproblems #insomniarelief #sleephacks#sleepmedicine #gotosleep

We take a deep dive with Dr. Kurt Sobush, Pediatric Pulmonologist with SSM Health Cardinal Glennon Children’s Hospital, into what medically fragile families may experience during their time spent in hospitals awaiting home care. We get personal to learn how he began his work in health care, who inspired him, and what keeps him fighting for this unforgotten population. Become a TUF Advocate: https://p2a.co/VvPCDKyFollow our journey:Instagram: https://www.instagram.com/theunforgottenfamilies/ Facebook: https://www.facebook.com/theunforgottenfamilies/Website: https://theunforgottenfamilies.com/

This session will discuss the basics of vaping, how it became popular among youth, the health risks linked to vaping, and the vaping-associated lung injury epidemic. Guest: Louella B. Amos, MD Dr. Amos is a Pediatric Pulmonologist and Sleep Medicine physician who has been on staff at Children's Wisconsin for 10 years. She and her colleagues were actively involved in caring for the teens who were admitted to the hospital last summer and fall with lung injury associated with vaping. Since then, Dr. Amos has participated in educational panels locally and nationally discussing the dangers of e-cigarette use in children and public advocacy efforts to protect children from these dangers. View webinar library here: www.yourchoiceprevention.org/webinars --- Support this podcast: https://anchor.fm/preventthis/support

On Episode 20 of the 3RIPLE 3HREAT podcast we interview Jermel's good friend Dr. Charles Michael Bowman, PhD, MD.   Dr. Bowman and Jermel met through the DAE Foundation and MUSC programs with elementary schools in the lowcountry. They kept in touch and remain working together to educate the Charleston community.   Being around the sport for over 30 plus years, Jermel has seen a lot of issues with friends and teammates when it comes to asthma and performance. Enhancing your knowledge about asthma may help you prevent, monitor and increase your overall performance.   On Episode 20 of the 3RIPLE 3HREAT podcast, Dr. Bowman shares some do's and dont's you should know as an athlete.   “As a pediatric pulmonologist, now retired from the Medical University of South Carolina (MUSC) with the rank of Professor Emeritus, I have truly enjoyed my opportunity to focus more on efforts to improve the management of asthma locally and nationally, especially in serving the underserved communities. I have been particularly interested in addressing asthma care in the underserved, and have spoken on that topic at national conferences. In addition, for three years prior to my retirement from MUSC in 2016, I was an active member of the Health Literacy Action Team, trying to teach doctors in training how to effectively communicate with their patients from all backgrounds. I was also an enthusiastic member of the “Docs Adopt” program linking doctors with schools in the Charleston area supporting school nurses in their care of their students with attendance at health fairs and PTA meetings. Now a member of the BOD of the Allergy & Asthma Network (AAN), I have been active in promoting efforts to address racial inequities related to asthma on a national level. That has included educational efforts related to Covid-19 as well as the newly-developed vaccines for this virus. I am a member of the SC Pandemic Healthcare Ethics Advisory Council, addressing issues of equity in allocation of scarce resources related to treatment and prevention of Covid-19.”   The DAE Foundation focus is to bring quality information to STUDENT-ATHLETES, PARENTS of student athletes and THE COMMUNITY that supports them both. There is a wealth of knowledge being shared in our 3RIPLE 3HREAT interviews. The stories are from former COLLEGIATE PLAYERS, PROFESSIONAL PLAYERS, COLLEGIATE/HIGH SCHOOL COACHES, SPORT AGENTS and the list goes on.

Julia interviews a pediatric pulmonologist who left the medical field after seventeen years when he began to realize the corruption that was taking place. You will be amazed at what "medicine" really means. Please share this episode so that others can begin to realize what has been taking place for years!    Book an appointment with Julia and take one of her courses: https://juliatreat.com/​   Julia's Free Ebook: https://www.courses.juliatreat.com/free-book1604780056266   Julia's YouTube: https://www.youtube.com/channel/UCccPi6CAtzDazc4VX5GYUkA   Purchase HempWorx: https://www.mydailychoice.com/corp/hempWorx/?enroller=juliatreat   Become A HempWorx Distributor: https://www.winwithmdc.com/cp29/juliatreat      

Dr. Mark received his medical degree from the University of Kansas and completed his residency in pediatrics at Children’s Mercy Hospital in Kansas City, Missouri. He then completed a fellowship in pediatric pulmonary medicine at the University of Rochester, Rochester, New York. In 1999, Dr. Mark completed the first fellowship in Pediatric Integrative Medicine at the University of Arizona. He practices at Packard Children’s Hospital where he utilizes non-conventional approaches with patients who have chronic illnesses such asthma and cystic fibrosis. He is interested in nutrition and the mind/body approach to healing in an effort to decrease dependence on medication. Dr. Mark is the Program Director for the Pediatric Pulmonary fellowship program, Associate Director for the Pediatric residency program and the Medical Director for the Coordinating and Optimizing Resources Effectively (CORE) Program at Packard Children’s Hospital, Stanford University. This innovative program assists with care coordination and communication with all health care providers for children with complex medical needs.

EPISODE 8 is out with Dr. Clancy. He's a Pediatric Pulmonologist and the Vice President of Clinical Research for the Cystic Fibrosis Foundation. His CFF role is to oversee clinical research conducted by the CFF TDN and investigators from academic institutions internationally. He also is deeply involved in the education and training of physician-scientists and career development in CF. Dr. Clancy have been the primary or co-mentor of >20 fellows, graduate students and junior faculty. He has over 300 peer reviewed publications, and regularly provides leadership in clinical and translational research through the international CF research community. Check out Cystic Fibrosis Foundation Check out CFF Instagram Check out Vertex Pharmaceuticals PipelineWant to learn more about TRIKAFTA go check it out!Follow both of my Instagram accounts Patient Paradox and Mark Sleeper Check out Vogmask if you need a good quality mask.I've included a link to CDC that list "People who are at higher rick for several illness"

The last episode of our series with John Bishara DO. In this discussion we try and cover the most current developments in COVID and address some of the social media challenges in a public health crisis. It will probably run a little long but hey, you get what you pay for and in the case of Rotations you get a lot more than you pay for sometimes. And as always… Wear a mask in close and indoor public spaces. Period. Full stop. Coagulopathy and COVID https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225095/ Management of Pregnancy with COVID-19 https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019 This seems like a perfectly good place to have Armando Hasudungan talk to us about cells… https://www.youtube.com/watch?v=HjlWm3LudJs How about Nucleus Medical Media as well? https://www.youtube.com/watch?v=URUJD5NEXC8 And while we are at it lets review Drew Berry’s TED talk… https://www.youtube.com/watch?v=WFCvkkDSfIU WVU Medicine Charleston Area Medical Center https://en.wikipedia.org/wiki/Charleston_Area_Medical_Center Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Born Again by Michael Shynes Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: None, I did this after hours and you know work rules for students Disclaimers: Sarah Adkins PharmD, The Phlegmatic Pharmacologist (It’s truly worth listening to her outro…you’re welcome) Cut Clip: None Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go mics Countryman Lavalier mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

The second of 3 episodes with John Bishara DO, Pediatric Pulmonologist. We get into the meat of COVID-19. Wonder why we are getting so concerned over this when we were not as concerned about SARS and MERS? We talk about it. Want to know how COVID-19 kills and maims people? We talk about it. Want to know the truth about this disease, specifically its affects on children? We talk about it. Frankly I don’t mind the comments on social media about COVID-19, what I mind is that amateurs with a voice may influence people who then behave in a manner that leads to the infection of a nursing home or the death of a child. The bottom line is that COVID-19 is not a government conspiracy. Period. It is a real disease that is very mysterious in how it behaves and it has killed over 110,000 Americans in just 3 months. So if you want to learn more, listen and while you do, ask yourself this; if it could save one life, is wearing a mask in Kroger for an hour worth it? Wear a mask in close and indoor public spaces. Period. Full stop. SARS https://www.who.int/csr/sars/en/ https://www.cdc.gov/sars/index.html https://en.wikipedia.org/wiki/Severe_acute_respiratory_syndrome MERS https://www.cdc.gov/coronavirus/mers/index.html https://www.who.int/emergencies/mers-cov/en/ https://en.wikipedia.org/wiki/Middle_East_respiratory_syndrome Incubation Period https://en.wikipedia.org/wiki/Incubation_period Case Fatality https://en.wikipedia.org/wiki/Case_fatality_rate High Flow Nasal Canula https://rebelem.com/high-flow-nasal-cannula-hfnc-part-1-how-it-works/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358040/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5406687/#:~:text=HFNC%2C%20like%20CPAP%2C%20is%20a,resistance%20%5B10%2C11%5D. Cytokine Storm https://www.cancer.gov/publications/dictionaries/cancer-terms/def/797584 https://www.nytimes.com/2020/06/11/health/coronavirus-cytokine-storm.html https://www.youtube.com/watch?v=AXP9qQ_a0fw COVID-19 and Coagulopathy/Thrombosis https://ashpublications.org/blood/article/135/23/2033/454646/COVID-19-and-its-implications-for-thrombosis-and COVID-19 and Cardiomyopathy https://heartfailure.onlinejacc.org/content/8/6/512 Point of Care Ultrasound https://www.acc.org/latest-in-cardiology/articles/2017/10/31/09/57/point-of-care-ultrasound https://www.sonosite.com/about/what-pocus-point-care-ultrasound Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: My Father’s Son by Jay Denton Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: None, I did this after hours and you know work rules for students Disclaimers: Todd Fredricks, DO Cut Clip: None… we are getting there with production Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Today’s guest is Dr. Scott Sagel, here to discuss the care of patients with cystic fibrosis (CF) and the clinical research that has led to the advances in access to these breakthrough therapies. Dr. Scott is a Pediatric Pulmonologist at Children’s Hospital Colorado and a Professor of Pediatrics at the University of Colorado School of Medicine.

He jokes with his wife, who is a Pediatric Pulmonologist, about how brilliant she is and how she doesn’t know that much about personal finance. He then realizes she was never taught about it in medical school, so how would she know? Ryan Inman, Owner of Physician Wealth Services and Host of the Financial Residency podcast says that physicians are culpable to making bad decisions when it comes to their money. In fact, financial planners know this and find that doctors are easy to make a commission from. Ryan is passionate about doing the right thing for his clients as a fee-only financial planner, a type of planner which he explains provides a flat rate for their services rather than a percentage of income or “assets under management” (AUM). Read more here: http://www.doctorsunbound.com/podcast/insider-tips-every-doctor-needs-to-know-about-personal-finance

Episode Notes In today’s world, financial advice is everywhere, but not all of it is always applicable to physicians and their families.  In this episode, Lara will be having a conversation with Ryan Inman, a financial planner who is married to a Pediatric Pulmonologist and understands the unique challenges of finances in the medical profession.  In addition to giving advice on how to find a good financial planner, Ryan will also share his thoughts on medical debt and how physicians and their spouses can best keep control of their finances. Click here to listen to Ryan’s podcast and click here to read his article about how Dave Ramsey’s financial planning is not ideal for doctors (article mentioned in the episode). About Ryan Ryan Inman graduated from the University of San Diego (USD) with a BA in Business Administration, an MA in Accounting and Financial Management, and an MA in Business Administration. During grad school, he worked at Merrill Lynch under a fantastic advisor, but soon realized that the average advisor in the industry was more concerned with selling financial products and obtaining new clients with investable assets than working with those who could really use the financial guidance to succeed in life.  Ryan decided to work with young physicians who were starting their careers and could really benefit from truly unbiased, quality financial advice.  Visit Physician Wealth Services or Financial Residency to learn more about Ryan’s services and to subscribe to his podcast.

Pump the brakes on your week and take 10 minutes to make your life as a surgeon just a little better…Jeff welcomes to the mini-podcast Ryan Inman, MBA. Ryan is the founder of Financial Residency - a free financial education podcast for physicians and Physician Wealth Services, a fee-only financial planning company. The topic of our discussion in this episode is Financial Training!Ryan joined Jeff on the mini-podcast to talk about financial training for physicians. As the husband of a pediatric pulmonologist, he knows from personal experience that physicians are highly intelligent. Having met many of his wife’s colleagues and hearing lots of stories, he knows that surgeons don’t receive much training in managing finances for business, and perhaps more importantly for our personal goals and financial wellness (wealth). Ryan’s goal is to arm physicians with the knowledge they never received during medical school and residency. Does that sound familiar? *Ahem, cough, SurgeonMasters.* Ryan started the Financial Residency Podcast to help physicians increase their financial literacy. Through his experience with his financial planning, Ryan understands that many of his clients, and physicians in general, are coming out of school with over $200K in debt. Despite that, he knows that lifestyle inflation is one of the most common first mistakes that many make.Training on any subject begins with the basics. Then knowledge and success build with repeated practice.How do we avoid lifestyle inflation and achieve long-term financial goals? Here’s what Ryan suggests:Step 1 - Take Control Early (or Now!) - Evaluate your financial situation. What is coming in? Where is your money going? Remember, it’s NEVER TOO LATE! Step 2 - Understand Your Financial Goals - Importantly, how will this make you happy? Step 3 - Create a Plan that will achieve these goals! What are your priorities so you achieve these first? Developing a plan and following it will help you get there. While these basics steps describe WHAT needs to be done, HOW you do this is up to you. How will you improve your financial training and wealth?Will you train yourself more?Will you delegate some financial training?Will you outsource your financial wealth to a financial planner?Any of the above will require you to at least learn the basics. We hope you will add to your training with our podcast with Ryan Inman. Ryan is Founder and Owner of Physician Wealth Services LLC, a fee-only financial planning firm created to help physicians and their families, like his, take control of their finances and position themselves for a bright financial future. His wife, Taylor, is a Pediatric Pulmonologist. His goal is to provide trustworthy, unbiased financial advice to dedicated, hardworking people like her.He has an intimate knowledge of the pains, struggles, and joys that come from a career in medicine. He knows what it’s like to be buried in debt while his physician spouse makes next to nothing, spending every fourth night in the hospital. He understands what physicians are going through; he and his wife have been there.He started his fee-only practice to help physicians sleep well at night knowing they have a trusted advisor guiding them toward financial independence. While Physician Wealth Services is his family practice, Ryan is also the host the Financial Residency podcast, a free resource to help physicians increase their financial literacy

Dr. Maya Byfield AKA the Phenomenal STEM(ist) interviews Dr. David Josey, Pediatric Pulmonologist about his path to medicine.

Dr. Candice discusss the asthma basics you need to know with Pediatric Pulmonologist and Sleep Medicine Specialist, Dr. Akinyemi Ajayi.

Session 60 Dr. Taylor Inman is an academic Pediatric Pulmonologist who is also a locums physician. She has been one and a half years out of fellowship training. We discussed her path into the specialty, what it's like, and much more. Check out MedEd Media for more podcasts. If you have some premed friends, kindly tell them about The Premed Years Podcast. If you have suggestions who would make a great guest on the show, please email me at ryan@medicalschoolhq.net. [01:20] Interest in Pediatric Pulmonology Taylor realized she wanted to be a pediatric pulmonologist when she got to her second year of residency. She always knew she wanted to get into medicine at a young age, having had Type I diabetes and getting diagnosed at five years old. She has been exposed to medicine at a young age with her mom being a nurse and her dad having a PhD. So always knew she was going to do something in medicine. Then when she got into pediatrics residency, she knew wanted to specialize. She likes interesting kids and she's been trying to figure out which interests her and pulmonology just fit the bill. [03:27] Traits that Lead to Being a Good Pediatric Pulmonologist Taylor describes that one of the traits that lead to become a good pediatric pulmonologist is being able to pay attention to details. Especially in pulmonology, there are a lot of details that you have to tease about patients to help optimize their treatment. Another trait that can be a hard thing to learn is the ability to listen to families. Working together is important to figure out a plan. this being said, building long term relationships with patients and their families is very important. "You need to listen to the parents who take care of the kids because a lot of times, they do know more than you do about their child's condition." [04:23] Being a Locums Physician in an Academic Setting Taylor says she actually fell upon her practice as a locums physician by chance. She trained in San Diego and her husband's family is in Las Vegas, where they moved after her training since at that time, they had a 22-month-old and a 3-month-old. She wanted a break so they needed to live somewhere where the cost of living was lower. Her plan was to take six months off, study for boards, take boards, and then start working locally. Only to discover that it wasn't as easy as she thought it would be to get a job locally in a pediatric subspecialty. Then she found the locums position in Fresno, California where they're desperate for a pediatric subspecialist. They have a huge pediatric hospital with over 300 beds so they needed help with their inpatient service. So Taylor travels to Fresno one week at a time where she gets on-call and does rounds. They pay for her rental car and her hotel. And she finds having a work-life balance and she's been doing this for about eight months now. So she works one week, and then have three weeks off to be home with the kids. The hospital she's working at started their own pediatric residency only this year. They have residents rotating through. They can do a pulmonology elective and they can have residents covering some of their CF (cystic fibrosis) patients. But for the most part, most of the patients in the hospital are taken care of mainly by attending physicians along with the resident service. So it's nice to have that balance of residents covering for them at night. [07:10] Types of Patients and Primary versus Consulting Majority of their patients have cystic fibrosis. They do see a lot of asthma patients as well as chronic patients. They have a separate service for all the chronically ill patients and they do consult on them. When she trained back in San Diego, they were oftentimes the primary physician for these patients although they're dealing with multi-system problems. Other cases are patients with pneumonia, embolism-type stuff, and TB, bronch patients. As a primary physician, you're in charge of everything - feeding, breathing, medications, discharge, etc. As a consulting physician, as a specialist, you just consult on your special field. She can make suggestion about other organ systems but she's primarily responsible for the lung organ system. A lot of times too, as physicians, they don't write orders for the patients since the hospitalists do that. But they make recommendations and then hospitalists get to decide to follow her recommendations or not. "Primary in a hospital, when somebody is admitted, doesn't necessarily mean primary care doctor." So you can have a specialty service and admit people to that specialty service.  That means there are other patients there that consult other specialties. Taylor explains that for cystic fibrosis patients, they are the primary physicians for the patients when they're in the hospital. She actually feels like they're their primary care physicians too, although they do require that their CF patients have a primary care physician outside of the pulmonologist. Unless they come in with a complaint for another organ system, these are different services and Taylor can just consult for those patients. [10:53] Clinic versus Inpatient Taylor illustrates how clinic setting is being a little bit more low-keyed than an inpatient. For clinics, it's nice to be able to get longer appointments. For instance, they can spend 45 minutes with an asthma patient for the first time. They'd figure out what's going on and what they can do to help. CF patients come in one specific day where they have a multidisciplinary clinic with a social worker, a dietitian, a specific CF nurse, pharmacist, and respiratory therapist to all help with the care. In regular pulmonary clinics, they see a lot of asthma and all different respiratory complaints. They take care of patients with sleep disorder, breathing, and sleep apnea. They also have patients who are on long-term ventilators at home or patients that have a tracheostomy that they care for. "It's good variety of different things. No two days are ever the same in pulmonary clinic." [12:10] Percentage of Patients Coming In Taylor estimates 30-40% of the patients are new and the rest are follow ups requiring management. Especially once the asthma patients are stable, they try to have their nurse practitioners follow those patients up because there is such a high demand for pulmonologist in Fresno and there aren't very many pediatric pulmonologists. Because of this, she's seeing more of new diagnosis instead of follow-ups. A typical day for Taylor would be getting to the hospital at 8:30 or 9 am, unless she has a bronchoscopy schedule where they're scheduled first thing in the morning. They'd do outpatient or inpatient bronchoscopy. Then she'd come in a bit later in the morning to check her CF patients. She looks through her list for new consults coming in. She reviews them on the computer the night before and then she'd see all the patients and talk with other specialists she's consulting with or on. In the afternoon, she spends a few hours writing notes, which is her least favorite part of medicine. Then she'd get down around 5:30 pm depending on how the day goes But usually, she's out at a reasonable hour. "I spend a few hours in the afternoon writing notes. That's really my least favorite part of medicine." [14:15] The Training Path to Pediatric Pulmonology The first step is to match into Pediatrics residency. After you do three years of Pediatrics residency, you match to become a Pediatric Pulmonologist. This happens in the Fall of your third year. This gives you more time to do some electives and figure out what exactly you want to do. Taylor adds that you have to know what you want to do by the beginning of your second year. "It doesn't really matter where you do pediatric residency for becoming a specialist." Pediatric pulmonology is an additional three years of training. And most of the pulmonology fellowships require a lot of research, which is good. At her fellowship, she had almost two years of full dedicated research time and a year of clinical time, spaced out over the course of three years. So she did mostly clinical her first year and mostly research on her second and third year. For most of the pediatric subspecialties, most of them are three years in length. Pediatric neurology can be combined to become a 5-year instead of 6-year training program. Even pediatric emergency medicine is another three years of training. So it doesn't matter where you're going to, since it's going to be six years in total. In terms of competitiveness, Taylor doesn't think it really is a very competitive field compared to other programs. When she was matching, half of the spots were unfilled each year because there are so many spots and so few people who want to go into pediatric pulmonology. "If you have your heart set on going to one specific place, it may be competitive in a given year... but for the most part, if you want to be a pediatric pulmonologist, you can do it." The reason for the few applicants being that the pay isn't that great in pediatrics. A lot of time you spend mastering your subspecialty and when you go out, your paying potential isn't that great. Plus, a lot of people who get into Pediatrics just aren't interested in pulmonology. [18:15] How to Be Competitive for a Pulmonology Fellowship Taylor recommends doing as much research as possible during your residency. Even if just writing case reports is better than nothing. Get to any research you can get involved with. She also mentions having great recommendation letters. "Even if your research doesn't seem like it's going to apply to your field, it's still helpful to have the experience of research as early as possible." Ultimately, it comes down to where you would work well and where you'd fit in well. She further adds that people who are smart and play nice with others can really go far in pediatric pulmonology. [19:45] Bias Against DOs, Working with Primary Care and Other Specialties Taylor hasn't really seen any negative bias towards the DOs since you're basically doing the same pediatrics training. So when you're applying for fellowship, you've already been working and doing the same thing for the last three years. So it doesn't really matter at that point. In terms of working with primary care, Taylor says that she feels that 90% of refractory asthma patients they get from primary care doctors are non-compliant. They're not doing their meds and they're lying or they're not doing it correctly. But she gets how this can be challenging in gen peds when you're practice in jam-packed. Taylor points out that most of the poorly controlled asthma is all about taking the meds and taking them correctly. And she's happy to see those kids in her clinic. As well, she's happy she has the support staff to help call and find out if families are refilling their prescriptions and picking them up. "For the primary care doctors, you're doing everything right. It's just a matter of the patients taking the medicine or doing it correctly." And for their CF patients, they appreciate primary care doctors who are seeing patients when they're sick and really working together. Taylor admits that as pulmonologists, a lot of times, they don't have sick visit appointments. But parents will call them when they're sick. Although their obligated to do something, Taylor says it's nice to have someone lay eyes on the child and be able to tell them if they do look sick or not. This being said, they value the input of primary care doctors even for the complicated kids that they do a lot of management for. In the hospital, other specialties they work the closest with include hospitalists, PICU, NICU, etc. With outpatient, they work with all the specialists in all different capacities. They work with ENT, Cardiology, GI, Allergy, Rheumatology, Hematology and Oncology. [23:23] Special Opportunities to Further Subspecialize and Outside of Clinical Medicine Taylor explains that you can do an extra PICU or NICU training. This would be an additional two years of training but she doesn't really know if doing this would make you better of an intensivist. The fields are split especially in Pediatrics. So they have each their own subspecialty. Moreover, Taylor doesn't like the lifestyle in PICU. The opportunities outside of clinical medicine are endless for research. Fellowship requires a research project and most fellowships give you substantial time to complete the project. They really encourage you to continue research after you've completed your fellowship. This said, there are tons of grants you can write and funding you can apply for to do research. The Cystic Fibrosis Foundation has all kinds of different funding pathways for physicians to do additional research. "All the research you could ever want to do is possible in pediatric pulmonology." [24:55] What She Wished She Knew and the Things She Most and Least Liked Taylor admits there were times she was envious of NPs or PAs who started at the same time as her and they finished and are already working and making more than her as a resident even though they're the same age. And a lot of the NPs and PAs don't have to take calls as much as physicians do. But she's still glad that she went through it all. It wasn't easy. But now she's on the other side of things, no one can take that MD away from you. There are still a lot of opportunities too as Taylor points out. You can go practice gen peds if you want to or do urgent care and take care of low acuity patients in the ER if you want to. So she's still happy she did it. Looking back, she thinks it was more fun that she thought that it was. It's pretty cool that as a 26-year-old that she was admitting kids to the hospital and deciding treatment for them with a senior resident. The thing she likes the most about being a pediatric pulmonologist is how fun it is. Most of their kids get better. Also, you get to know the families well and see the patients grow and get better and graduate from pulmonary clinic. "Regardless of what you do, a lot of them will get better. So you don't have to be the smartest person to figure out what to do." On the flip side, what she likes the least are having patients who are chronically ill and not going to get better. A lot of them eventually will have respiratory problems and breathing is the one thing that can make them live or die. So they end up being involved with families making decisions whether or not to place tracheostomy or place patients on ventilators. She says that a lot of times, it doesn't feel right making that decision. She also finds it hard if she doesn't feel like she agrees with the family. For instance, she sees that the patient is not going to get better but the family wants to have them live as long as possible even though they don't have a good quality of life. These are very challenging cases for her to see kids who are not going to get better and to know that they're not going to get better. [28:35] Major Changes in the Field of Pediatric Pulmonology For asthma, they have some new treatments for asthma monoclonal antibodies that will target to lower IGE and kids who have allergic asthma. They have made a big difference in treatments.She thinks there will be more specific, targeted therapies to come in the future. Also, trying to use personalized medicine to classify patients with asthma and figure out what type of asthma they have or what specific medications will work best for them. Taylor reveals there a lot of stuff that are just on the cusp of discovery. And it's a very exciting time for cystic fibrosis with all the new medications coming out. There are two drugs currently available and more drugs are on the horizon. She does hope the price of the therapies comes down soon too (right now, it's over $300,000 a year). Nevertheless, it's exiting to have new treatment options for their patients. Ultimately, if she had to do it again, she still would have chosen Pediatric Pulmonology. Although at the back of her mind, she does wonder if she would enjoy being an endocrinologist. Having lived with diabetes her whole life has made her feel like she's an expert so it could be easier to make a difference in the field of endocrinology. [31:40] Final Words of Wisdom Taylor recommends to aspiring pediatricians or pediatric pulmonologists out there to try to get as much exposure as possible, even as a med student and resident. Try to get involved. Shadow in a clinic and see what kinds of patients are seen. It's a lot of fun and a lot of variety so it's a good balance of having excitement and seeing patients who are sick. And there's good work-life balance since they're not being called in overnight to come in and do procedures. As a mom. Taylor says it's a good specialty to pick. "It's a lot of fun. It's a lot of variety. It's a good balance of having excitement and seeing patients who are sick." Links: The Premed Years Podcast Cystic Fibrosis Foundation

Pediatric Grand Rounds for Wednesday, September 26, 2017. Our presenters are Paul Palumbo, MD, Brian O’Sullivan, MD and Carolyn Murray, MD. Dr. Palumbo is a Professor of Pediatrics at the Geisel School of Medicine at Dartmouth and is a Pediatric Infectious Disease specialist at the Children’s Hospital at Dartmouth-Hitchcock. Dr. O’Sullivan is a Professor of Pediatrics at the Geisel School of Medicine at Dartmouth and is a Pediatric Pulmonologist at the Children’s Hospital at Dartmouth-Hitchcock. Dr. Murray is an Assistant Professor of Community and Family Medicine and the Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine.

Pediatric Grand Rounds presented on September 6, 2017 by Margaret Guill, MD. Dr. Guill is a Professor of Pediatrics at the Geisel School of Medicine at Dartmouth and is a Pediatric Pulmonologist at the Children’s Hospital at Dartmouth-Hitchcock.

Get some invaluable tips and advice from a leading pediatric pulmonologist.  Dr. Jason Lang gives us insight, knowledge, and hope for a better breathing tomorrow!

MARINA talks with Greg Dworkin MD, FAAP, FACCP, Pediatric Pulmonologist, Danbury Hospital and Founding Editor Flu Wiki & Flu Wiki Forum about children's health. www.newfluwiki2.com Featured Song:"Lost Along The Way" (160 BPM)Written by MARINA & T. MarinelloProduced by MARINAAll vocals by MARINAMARINA's High-nrg Fitness Music and Workouts